Restless Legs Syndrome
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Pramipexole and connection of RLS to Parkinsons

I have taken ropinirole for a few years but now find that they don't work as well as they did and I frequently need to take more than the maximum dose daily.

My GP has now prescribed pramipexole, after consulting with a neurologist. I am worried about the side effects, and also that I will only take 1 tablet a day. Will this be enough to stop the RLS?

My final concern is more general. My Mum suffered with RLS for years and now has Parkinsons Disease. I am worried about the connection as the medication is the same.

Any opinions and advice gratefully received.

13 Replies
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Firstly- there is no connection between Parkinsons and rls- as far as anyone knows at present. Yes- the medication can be the same , but at vastly different doses.

Secondly- Fire both your doctor and his neurologist. They will have you like a gibbering monkey within a few months.

Kaarina will post a link to "Augmentation " or you can search for it on this site or

rls-uk.org

You need to be getting on to Gabapentin or Pregabalin. But also need to taper off your current medication slowly ( 10%per week ).

Print out the information you find on Augmentation and give it to your doctor ( if you are still talking at that stage)😈

Good luck.

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Thanks for your reply. I'm really concerned about starting to take them. When you say I'll be like a gibbering monkey...how do you mean? Will it affect my work, driving etc?

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Madlegs is always kidding. he means nothing by that. he just is saying in his very eccentric way that he does not like how your meds are being handled, and neither do I. As I explained in my other reply........

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Listen to Madlegs- he's absolutely right. Every day we see people joining this site because they are suffering Augmentation and their GPs & neurologists are totally ignorant of the condition and just make it worse by prescribing another Dopamine Agonist.

If not for this site and the help of all the knowledgeable people ( who know far more than most GPs & neurologists) I too would be a gibbering idiot!

Get off the dopamine agonists and don't let your doctors persuade you otherwise.

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So how do I relieve the awful pain? I'm really confused as to what to do for the best.

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Did the Ropinirole stop working OR did the RLS become more intense, start earlier in the day and/or move to other body parts like arms, hands, back? If the latter, that is Augmentation and you should avoid other dopamine agonists like pramipexole. The same thing will happen, only more quickly.

As Madlegs suggests, Gabapentin or pregabalin are good alternatives but take around 2/3weeks to take full effect.

Withdrawal from dopamine agonists is hellish- non stop RLS with little sleep for weeks. They are heaven while they work, hell once they stop working.

Speak to your doctor about alternatives

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You may find this link helpful: sleepreviewmag.com/2015/02/...

This link too written by a forum member a year or so ago: healthunlocked.com/rlsuk/po...

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Thank you so much. That's very helpful. The article mentions RLS specialists being thin on the ground. Do you know if thete are any in Cumbria/Lancashire?

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Not sure if Newcastle is a viable place for you to travel from where you live. Dr. Kirstie Anderson (Consultant Neurologist) has recently spoken, two years running at the RLS-UK AGM held in London and a few forum members who have been to see her, found their appointments very positive. newcastle-hospitals.org.uk/...

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Hi sue,i was on ropinirole and they stopped working for me,so my doctor switched me to pramipexole she started me on 0.088 and they didn't work as well so now i am on 0.18 mil +one 600 gabapentin at 4pm the 600 again at 10pm+2pramipexole now i sleep like a baby,side effects in the am i am a big groggy but a coffee or 3 and a shower i am fine hope this helps

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As Madlegs said, there is NO connection just because some of the same meds are used. Some meds are used fore many things, like Gabapentin is used for RLS and nerve pain, and so on. That is nothing to worry about. BUT, Ropinerole is the SAME class of med as Pramipexole. Pramipexole is MUCH stronger than Ropinerole, hence the smaller dose. What amount of Ropinerole were you taking, as in what do you call the "highest daily dose"?

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I have been taking 8 - 10 tablets of 0.5mg ropinirole daily. Sorry for the delayed reply. My Mum passed away.

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Oh Sue, very sorry to hear about your Mother. What a lot you have to cope with at the moment.

From your own point of view, as the others have said, there is no connection between RLS and Parkinson’s.

Unfortunately that is a very high dose of ropinerole you have been on and I would say it is almost certain that you have augmented which is why the ropinerole no longer works.

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